NPIMap

Organization Active NPI

Agency for Persons With Disabilities

  • Intellectual Disabilities Intermediate Care Facility
  • Gainesville, FL
National Provider Identifier
1154447696
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
Legal business name
AGENCY FOR PERSONS WITH DISABILITIES
Practice address
1621 NE Waldo Rd
Gainesville, FL 32609-3900
Phone
(352) 955-5919
Fax
(352) 955-6113
NPI assigned
Mar 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Debra A Jackson
Title
C.F.O.
Phone
(352) 955-5575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X Primary

Addresses

Primary practice location

1621 NE Waldo Rd
Gainesville, FL 32609-3900

Mailing address

1621 NE Waldo Rd
Gainesville, FL 32609-3900
Phone (352) 955-5919

Other identifiers 1

IdentifierTypeStateIssuer
K9054OtherFLPROVIDER NUMBER

National Provider Directory

National Provider Directory
Tax ID family
Agency for Persons With Disabilities12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1621 NE Waldo Rd
Gainesville, FL 32609
Phone (352) 955-5547

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154447696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 NE WALDO RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093900",
            "telephone_number": "352-955-5919",
            "fax_number": "352-955-6113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1621 NE WALDO RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326093900",
            "telephone_number": "352-955-5919",
            "fax_number": "352-955-6113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGENCY FOR PERSONS WITH DISABILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "352-955-5575",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "K9054",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.